OFFICIAL EXPLANATIONQuote:
Which of the following, if true, most helps to resolve the conflicting findings of the meta-analysis?
Taking a look at the question stem, we can see that we are aiming to resolve a paradox. But be careful: do
not assume that the paradox that needs to be addressed is the one and only paradox, or you might shift into territory that can be detrimental to your CR success.
Quote:
In a meta-analysis of several hundred studies designed to identify relationships between cardiovascular health and cholesterol levels, researchers found that the two most statistically significant variables on decreasing the incidence of major cardiovascular events, defined as hardening of the arteries, heart attacks, and strokes, were high serum HDL cholesterol levels and a high HDL-to-LDL ratio. The researchers also found, after adjusting for confounding variables such as smoking or exercise, that one subset of study participants, those who consumed no animal products and thus no dietary cholesterol, had the lowest HDL cholesterol levels and relatively low HDL-to-LDL ratios, yet suffered a markedly lower incidence of any major cardiovascular event than did any other subset of participants.
Believe it or not, we are dealing with just two sentences here. The first outlines that studies were conducted to
identify relationships between cardiovascular health and cholesterol levels, and two variables proved most statistically significant in
decreasing the incidence of major cardiovascular events: 1)
high serum HDL cholesterol levels and 2)
a high HDL-to-LDL ratio.
The second sentence tells us that a certain group of study participants,
those who consumed no animal products and thus no dietary cholesterol, had the opposite of what was deemed most desirable in sentence one,
the lowest HDL cholesterol levels and
low HDL-to-LDL ratios, but this group had a significantly
lower incidence of any major cardiovascular event compared to all other groups.
There are two logical directions in which this paradox could go. We either want to know
what caused the no-animal-product group (hereafter referred to as NAP) to suffer from the fewest cardiac events, comparatively, or we want to know
how that same group was able to enjoy health benefits that would fall more in line with participants who had high serum HDL cholesterol and high HDL-to-LDL ratios.
Quote:
(A) The participants who consumed no animal products represented one-tenth of the total number of participants across all studies, just meeting the standard for statistical significance.
I hope that by now, three CR questions into this challenge, you have developed a keen eye for what is a premise, and you have to remember, attacking a premise should not be your goal in nearly all types of CR questions. (A
weaken the force of the evidence question can be thought of as an exception.) In this case, if the subset of participants in question has met a standard for statistical significance, then if anything, the findings about this group should warrant further study and consideration, not a dismissal.
Red light.
Quote:
(B) The human body is capable of producing all the cholesterol it needs to function, both HDL and LDL, without any dietary cholesterol.
This is an interesting fact, but
the human body refers to
all bodies, those that either ingest animal products or do not, so we still gain no insight into why the two groups of participants, with different markers for cholesterol, achieved similar cardiovascular benefits. This answer choice touches on the right notes, but it is a blind alley, too broad in scope.
Red light.
Quote:
(C) HDL cholesterol is necessary for the removal of fat molecules out of artery walls, thereby increasing cardiovascular function, only when such molecules are derived from animal products.
Although this does
not resolve one of our two likely paradoxes—we still have no idea why the NAP group enjoys the same cardiovascular benefits as the group with the highest statistical significance—it does shed light on why the NAP group would have low HDL cholesterol levels and a lower HDL-to-LDL ratio. There appears to be some unknown mechanism or correlation besides high serum HDL cholesterol that is providing protection for the NAP participants in the studies. Keep this one for now and look to disprove other answer choices.
Green light.
Quote:
(D) Because of the duration of some of the studies, not all participants accurately reported what they consumed.
This one seems easier to target after those first three. We have a double weakener in
some and
not all. The studies do not need to have been conducted in a vacuum to produce valid findings, and, of course, we have no notion of just how many studies
some may be referring to. Let out a sigh of relief and keep moving.
Red light.
Quote:
(E) Earlier studies, which represented half of all the studies analyzed, incorporated methods for measuring serum cholesterol that were later replaced by more refined procedures.
This answer choice runs in the same vein (sorry, I told you I like puns) as (A), actually. You should
hope to get these sorts of options when you hit a more challenging CR question. Again, we are meant to doubt the validity of the studies, a distraction that keeps us from doing what we are asked to do: resolve the conflicting findings of those studies. We cannot resolve anything if we toss out all the data.
Red light.
There you have it. Another question done and dusted. I feel the need to reiterate that you should not pursue a solution to a CR question blinded by what you think
must be the one and only answer to the question. Here, it is perfectly reasonable to look for an answer to the question,
What causes the NAP group to get even better results than the other group? But the passage and answer choices provide no insights into the matter. However, one answer choice does provide an explanation that allows us to appreciate why the NAP group had a lower level of a statistically significant factor, and that is the answer we should get behind.
- Andrew